Abstract
The treatment of benign forehead lesions is traditionally performed with an open excision technique. This causes a notorious scar with incomplete cosmetic results. The objective of this study is to assess the results obtained after single-port video endoscopic surgery in patients with benign forehead tumors. An observational, retrospective case study was done. All single-port endoscopic frontal resection procedures were registered from 2016 to 2019. Intraoperative and postoperative data were identified. Sixteen patients were recruited. The median age was 48 (range 18–62). The follow-up period was of 12 months (range 7–15). Out of 20 tumors, histological analysis found out 10 lipomas (50%), 8 Osteomas (40%), and 2 cysts (10%). The endoscopic method through a single scalp incision allowed the complete removal of the lesions. Postoperative complications and the patient´s cosmetic satisfaction were registered; only one case of hematoma was recorded (6.25%) that required drainage at the doctor´s office; one patient with a cyst recurred after 12 months follow-up, and required new surgery. There were no nervous lesions. Single-port endoscopic approach to treat benign forehead lesions represents an effective and safe treatment, and provides excellent cosmetic and satisfaction results and low complication rate. Level of Evidence: Level IV, therapeutic study.
This is a preview of subscription content, log in via an institution to check access.
References
Narayanan V, Jayapalan R, Sidhu A et al (2019) Single port endoscope-assisted excision of forehead lesions: an innovative way of improving the optical cavity. J Craniofac Surg 30:841–842
Sadick H, Huber M, Perkins S et al (2014) Endoscopic forehead approach for minimally invasive benign tumor excisions. JAMA Facial Plast Surg 16(5):352–358
Ashok R, Anshul S (2012) Update on management of frontal sinus osteomas. Curr Opin Otolaryngol Head Neck Surg 20:40–44
Brass D et al (2016) Successful treatment of forehead lipoma depends on knowledge of the surgical anatomy: a step-by-step guide. Clin Exp Dermatol 41(1):3–7. https://doi.org/10.1111/ced.12741
Wilhelmi B, Blackwell S, Mancoll J et al (1999) Another indication for liposuction: small facial lipomas. Plast Reconstr Surg 103:1864
Onishi K, Maruyama Y, Sawaizumi M (1995) Endoscopic excision of forehead osteoma. J Craniofacial Surg 6:516–518
Bouguila J, Chahed H (2019) Endoscopic resection of forehead osteomas: technical notes. Ann Chir Plast Esthet. https://doi.org/10.1016/j.anplas.2019.04.004
Im JT, Park BY, Lim SY, Pyon JK, Bang SI, Oh KS, Mun GH (2014) Endoscopic excision of benign facial tumors: a decade of experience with 152 patients. Ann Plastic Surgery 72(5):556–9. https://doi.org/10.1097/SAP.0b013e318268a8e5
Meningaud JP et al (2008) Endoscopic resection of osteoma of the forehead. Scand J Plast Reconstr Surg Hand Surg 42(6):286–9. https://doi.org/10.1080/02844310802393982
Cronin ED, Ruiz-Razura A, Livingstone CK et al (2000) Endoscopic approach for the resection of forehead masses. Plast Reconstr Surg 105:2459–2463
Terence Goh LH, Tan BK, Liam FC (2008) Endoscopic resection of forehead lipoma: a subperiosteal single-portal approach. Indian J Plast Surg 41(141–144):6
Fu YH, Hsu M (2015) Single port endoscopic assisted resection of forehead osteoma. Formos J Surg 48:57–61
Leun Han B, Seong SH (2012) Alternative treatment of osteoma using an endoscopic holmium-YAG laser. Arch Plast Surg 39:422–425
Hyun Mun G, Jung E, Lim S et al (2006) Excision of forehead osteomas: experience with 12 patients with use of an endoscopic technique. J Craniofac Surg 17(3):426–430
Knize DM (1995) A study of the supraorbital nerve. Plast Reconstr Surg 96:564–569
Acknowledgements
The authors specially acknowledge Hospital Aleman of Buenos Aires for its support on the process.
Funding
The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.
Author information
Authors and Affiliations
Contributions
All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Dr. Herrera, Dr. Montes de Oca and Dr. Juarez Calvi. The first draft of the manuscript was written by Dr. Herrera and Dr. Juarez Calvi and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
Ethics declarations
Ethics approval
This is an observational study. The “Hospital Aleman of Buenos Aires” Research Ethics Committee has confirmed that no ethical approval is required.
Consent to participate
Informed consent was obtained from all individual participants included in the study.
Consent for publication
The authors affirm that human research participants provided informed consent for publication of the images.
Competing interests
The authors declare that they have no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Herrera, J., Juarez Calvi, R., Montes de Oca, E. et al. Single-port endoscopic approach for forehead lesions: a single-center case series. Eur J Plast Surg 46, 281–287 (2023). https://doi.org/10.1007/s00238-022-02007-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-022-02007-3